DIEP Flap Breast Reconstruction Surgery: Phase 2

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My hope is this blog will help other women who are anxious about DIEP Flap Breast Reconstruction Surgery: Phase2. I had my surgery at PRMA in San Antonio, Texas and traveled for it. No matter where your surgery is performed I hope the information helps in your planning and the questions you might have going into this part of your breast reconstruction.

DIEP Flap Patient Stories

Surgical groups across the U.S. often share patient stories. This helps other women connect to a real experience. At PRMA they provide patient stories on their website. When other women can see and hear first-hand the successes of patients it is a direct reflection of the commitment that this Plastic Surgery group has for women as they rebuild their lives after cancer.

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I have to chuckle a bit looking back at this photo of me the day of my phase 2 breast reconstruction. 

You will likely be turned a bit on the surgical table that day because of where the surgeon may harvest the fat, in my case, from my thighs.  I jokingly told him I’d be turned like a rotisserie chicken.  I remember a very strong looking surgical tech named Nelson before I was put to sleep.  He’s the one to the far right in this picture!  That was the best team ever!!  I just wanted to look at him, knowing he might be the muscles in the group that day and say, “Turn me gently, Nelson, turn me gently!”

Returning Home after DIEP Flap Breast Reconstruction Surgery: Phase 2

Phase 2 is so much easier than phase 1.  It is the icing on the cake.  I flew in to San Antonio on a Wednesday, had surgery on Friday morning and returned the following Tuesday.  I flew back home by myself.  My sister flew in and was there for this surgery but she had to travel back to her own home town. It is very possible to fly out a couple of days after your surgery.  I personally don’t recommend flying home the day after surgery.  Check with your plastic surgeon’s office and discuss this with them if you are driving or flying.

The only discomfort I experienced was from the bruising due to the liposuction from my thighs. I was told this would be the case. I describe it more as soreness rather than pain. It was completely manageable and walking and moving helped with the soreness.  You will have a weight limitation post-surgery of ten pounds for a week after surgery, as is the case with most surgeries.  I was out taking walks again after being home just one week. 

You cannot sleep on your stomach or side for 4 weeks so get those pillows ready for when you arrive home.  I was driving again a week after surgery, but please note that you must be off pain medication when you return to driving.  In fact, I did the grocery shopping by myself.  Just ask the clerks to “lighten your bags” for you.  Take them in one at a time after you get home. Other than the usual post-surgical fatigue and wearing a compression garment for three weeks it was a relatively seamless procedure for me.

Other Details and Reminders after Phase 2

I showered the day after surgery.  You will have some swelling in your legs as the fluid and bruising gravitate downward and your body works to absorb the extra fluid from surgery and healing.  Wear compression stockings home on the plane or in the car if you are traveling to reduce the possibility of blood clots.

You will likely feel so much stronger after phase 2 than you did coming home from phase 1 but a word of caution…. DON’T OVER-DO IT!!  Guilty as charged on that one.  I had a bit of a set back at week two and just had to tell myself that I had just been through surgery again.  I slowed down week two. Continue to take walks, drink lots of water, and eat healthy meals. Allow yourself to take daily naps to let your body rest and heal. Take it easy, ladies and take my advice and don’t go back at it too fast.

Thank you for allowing me to be a part of your success stories, PRMA!

Traveling for DIEP Flap Breast Reconstruction

My Journey traveling over 800 miles for DIEP flap breast reconstruction surgery took planning a preparation. Many people, including healthcare providers have asked me, “Why did you travel  to San Antonio, TX for your DIEP flap breast reconstruction surgery and what is it like to travel? To answer the first question, I feel I found the best micro-surgeon in the country to perform my DIEP flap procedure.  This is a highly complex surgery successfully performed by few surgeons across the United States.  Many women have to travel to have this surgery performed because of the few number of skilled plastic surgeons who specialize in autologous, microsurgery, breast reconstruction. I stand firm in my conviction, the group at PRMA in San Antonio are eight of the finest micro-surgeons in the United States. I want other women to know where the great surgeons are across the country.  The answer to the second question Continue Reading →

Breast Reconstruction Phase 2 ~ Remembering Dates

Today I will be seeing my plastic surgeon for the pre-op appointment for phase 2 of my breast reconstruction. People remember and celebrate dates for various reasons. I don’t know how this happened but I have had a strange collision of dates today. Cancer patients tend to remember significant dates and anniversaries in their minds for various reasons. It might be the day of diagnosis. Perhaps it was the final day of treatment. Today for me, it’s a combination of a couple of significant events and a day to celebrate as well. Memories Evoked I will admit that the final day of radiation and all treatments, October 15, 2002, sans five years of Tamoxifen, from my first diagnosis was very significant to me. I was raised a Catholic and October 15 was the feast day of my patron saint, St. Teresa. That was significant to me that those two dates Continue Reading →

“The Emperor of All Maladies” documentary

Tonight is the beginning of the three-part documentary, “The Emperor of All Maladies: A Biography of Cancer”. The movie is based on the book by Dr. Siddhartha Mukherjee. It will air on PBS as a three-night, six hour documentary.  I was fortunate to attend a pre-screening of this important documentary last week. Hope and Inspiration ~ The documentary, “Winning by Living” was made about a local woman, Michelle Kirlew, in conjunction with our local PBS affiliate’s screening of the Ken Burns documentary. Michelle has pancreatic cancer. She is a wife and mother and at a very young age found out about her diagnosis. She is aware that death is likely very soon for her and is dealing not only with her illness and the side effects but all the emotional responsibilities that come with facing death. She had the courage to contribute to science by participating in a clinical trial Continue Reading →

Choosing Your Breast Reconstruction Surgeon ~

A Fortunate Collaboration This is the first and most important step in your breast reconstruction process. So many have asked me, “Where did you find your doctor and why did you travel over 800 miles to San Antonio to have reconstruction?” This is a difficult post for me to write. Although I’d like everyone to have the same experience I did with my amazingly skilled and compassionate microsurgeon, I know there are other skilled surgeons across the U.S. as well as the world who are geographically closer to those who choose breast reconstruction after a mastectomy. Not all roads lead to San Antonio for everyone as they did for me but the purpose of this post is to guide you in a process to find the finest board certified plastic surgeon to perform your breast reconstruction. This is a huge decision but one I look back on with ZERO regrets. Continue Reading →

DiepCJourney ~ One Year Anniversary

March 18 DiepCJourney ~ One Year Anniversary I can’t believe that I am celebrating the One Year Anniversary of DiepCJourney!  Here is my very first blog post from a year ago. ‘Twas a wonderful St. Paddy’s day evening with my artist, Meagan, and her family and friends. It couldn’t have been a more memorable night sharing a pint of Guinness and celebrating the launch of my website. I taught two of Meagan’s three daughters so seeing the “wee little ones” last evening was even more of a bonus for this teacher/educator. The days leading up to the launch were hectic, exhilarating, head banging and joyful all occurring at random days and at different times. My biggest concern was opening the blog with so little content. Then I went back a year in time to the day I started back to earn my M.Ed. after being away from academia for over Continue Reading →

When you Learn About Breast Cancer Diagnosis #2

There are no easy outs when you learn about breast cancer diagnosis #2. I was diligent about scheduling my yearly mammograms and equally as diligent about doing my breast self-exams. I had my yearly physical in late January of 2014 with my primary care physician. She did not feel anything suspicious in my breasts just as I hadn’t when doing my monthly self breast exams. A couple of months later, as I was lying in bed one morning doing a self exam, I left a bit of a thickness in my left breast. I decided not to panic or jump to any conclusions for a couple of reasons. The first one, I frequented the gym and did weight training three times a week, perhaps the delusional/hopeful side of me. I feel great! It’s just all the strength training and new muscles. The second and more practical side of me, I Continue Reading →

Ta Ta for Now ~ The Double Mastectomy

The days leading up to my mastectomy were a real mix of emotions. Our youngest son was still living with us at the time and finishing up a second degree. Our oldest son came down from Seattle to be here for Mother’s Day prior to my surgery “just because”. He arrived on May 6th, flew home only to return on the 19th to be here for my recovery after surgery. The 19th was his birthday. Who is lucky enough to have sons so great? Me!!   It was a fantastic week before the mastectomy sharing time with the family. Being surrounded by my husband and two sons and talking and decompressing from the events of the past month was cathartic and healing. Our oldest son came up with the saying, “Ta Ta for now referring to my double mastectomy. Let’s Do This I had to take our oldest son back to Continue Reading →